Active NPI
Arrowhead Healthcare Center LLC
- Skilled Nursing Facility
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 240000109
- Legal business name
- ARROWHEAD HEALTHCARE CENTER LLC
- Practice address
- 4343 N Sierra Way
San Bernardino, CA 92407-3822 - Phone
- (909) 886-4731
- Fax
- (909) 886-8399
- NPI assigned
- Apr 20, 2015
- Last updated
- Jul 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Solorzano
- Title
- Ceo
- Phone
- (323) 836-9397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 240000109 | CA | Primary |
Addresses
Primary practice location
4343 N Sierra Way
San Bernardino, CA 92407-3822
Mailing address
4343 N Sierra Way
San Bernardino, CA 92407-3822
Phone (909) 886-4731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT11304G | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150619001362 | CA | Part A Provider - Skilled Nursing Facility | 7416268289 | Practice locations: San Bernardino, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1659768406. Details of each certification follow.
Skilled nursing facility certification: CCN 555896
- Legal name
- ARROWHEAD HEALTHCARE CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 13, 2015
- Last certification
- Dec 19, 2024
- Beds
- 58
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- P&M Management
- Organization structure
- LLC
- Incorporated
- Dec 19, 2014 in CA
- Enrollment address
- 4343 N Sierra Way
San Bernardino, CA 92407-3822 - Nursing home name
- ARROWHEAD HEALTHCARE CENTER, LLC
- Affiliated entity
- CRYSTAL SOLORZANO
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Arrowhead Healthcare Center, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 13, 2015
- Medicare certification status
- Active
- Certified beds
- 58
- Chain
- Crystal Solorzano
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0719934 | Arrowhead Healthcare Center LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jean Claude Hage | Operational/Managerial Control | Nov 1, 2018 | |
| Adp of the SNF | Nov 1, 2018 | ||
| Rachel Ahuva Cohen | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 50.59% |
| Corporate Officer | Apr 1, 2015 | 99% | |
| Operational/Managerial Control | Jun 20, 2024 | ||
| Sylvi Quadros | Operational/Managerial Control | Feb 28, 2022 | |
| Adp of the SNF | Feb 28, 2022 | ||
| Jaden Rust | Indirect Ownership Interest | Jun 20, 2024 | 0.51% |
| Ahcst LLC | 5% Or Greater Direct Ownership Interest | Jun 20, 2024 | 48.9% |
| Adrienne Martinez | Corporate Officer | Feb 16, 2023 | |
| Operational/Managerial Control | Feb 16, 2023 | ||
| Adp of the SNF | Feb 16, 2023 | ||
| Renew Health Group LLC | 5% Or Greater Direct Ownership Interest | Jun 20, 2024 | 51.1% |
| Adp of the SNF | Sep 10, 2025 | ||
| Paola Dionisio | 5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 48.9% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1982646832
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1922482678
Renew Health Group LLC
-
dba Healthcare Center of Orange County
- Skilled Nursing Facility
- Buena Park, CA
- NPI 1619424553
Renew Health Group LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Rancho Cucamonga, CA
- NPI 1609878115
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658793600000",
"number": "1659768406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 N SIERRA WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924073822",
"telephone_number": "909-886-4731",
"fax_number": "909-886-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 N SIERRA WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924073822",
"telephone_number": "909-886-4731",
"fax_number": "909-886-8399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROWHEAD HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-20",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A",
"authorized_official_last_name": "SOLORZANO",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-836-9397"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "240000109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT11304G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.